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The Life Scientific: Sir Magdi Yacoub
Discovery
Sep 1, 2025

What does it take to earn the nickname, ‘The Leonardo da Vinci of heart surgery’?

That's the moniker given to today's guest - a man who pioneered high-profile and often controversial procedures, but also helped drive huge medical progress; carrying out around 2,000 heart transplants and 400 dual heart-lung transplants during his 60-year career.

Sir Magdi Yacoub is Emeritus Professor of Cardiothoracic Surgery at Imperial College London, and Director of Research at Harefield Hospital’s Magdi Yacoub Institute. Inspired by a surgeon father and impacted by the tragic early death of his aunt from a heart condition, his medical career includes various surgical firsts alongside numerous research projects, to further our understanding of and ability to treat heart disease. He headed up the teams that discovered it is possible to reverse heart failure, and that successfully grew part of a human heart valve from stem cells for the first time.

But it hasn't always been plain sailing. At times, his work – such as early, unsuccessful transplant attempts, or using a baboon as a life-support system for a baby – attracted serious public criticism.

Speaking to Professor Jim Al-Khalili, Sir Magdi reflects on the highs and lows of his cardio career, and offers his advice to the next generation of surgeons and researchers hoping to make their mark in heart medicine.

Presented by Jim Al-Khalili Produced by Lucy Taylor Reversion for World Service by Minnie Harrop

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“I shall largely speak of mice,” the paper begins “but my thoughts are on man.”

So begins a truly extraordinary scientific paper, and an equally extraordinary story.

“Death Squared: The Explosive Growth and Demise of a Mouse Population.” was published in 1973 by John Calhoun, and it detailed his increasingly bizarre research into the psychological effects of overcrowding. Over two decades he built a series of ‘rodent utopias’, where he could keep a population of rats or mice, meet all their basic food and shelter needs, but mess around with population levels. He wanted to see how they responded to having to live, cheek-by-tiny-jowl, with far more other rats than they were used to. And it wasn’t pretty. Social orders melted into chaos, rodents fought indiscriminately, or shut themselves away at the top of the enclosure. Mating orders collapsed, population numbers tanked, and eventually, every single rat was dead.

His work came at a prescient time. In the 60s and 70s, the exponentially expanding human population was a hot-button topic, and ‘population panic’ was in full swing. Alongside the expansion of cities, creeping urban sprawl, rising city-centre crime rates and 'urban sinks', there grew a concern that human living conditions were about to take an interminable dive. How would we live, with so many of us on earth? Calhoun’s work was leapt on by the press and public as a dire prediction of our own coming collapse. His rodent utopias became a subject of great interest among architects and city planners, psychologists and sociologists, and anyone fascinated by the human condition. But has his work been misunderstood?

50 years on, what lessons can we take from the work of a ground-breaking but often misunderstood scientist, in the face of a human population now exceeding 8 billion. Emily Knight explores his extraordinary work, its implications for humanity, and the possibility of a human utopia, that might not look anything like you expect.

Presented and Produced by Emily Knight in Cardiff


26min 30sec

The Life Scientific: Sir Magdi Yacoub

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